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Permit CITY OF TIGARD BUILDING PERMIT PERMIT #: BUP2002 -00268 Aip DEVELOPMENT SERVICES DATE ISSUED: 9/3/02 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112AB -00800 SITE ADDRESS: 14255 SW 72ND AVE SUBDIVISION: ZONING: I -H BLOCK: LOT: JURISDICTION: TIG REISSUE: FLOOR AREAS EXTERIOR WALL CONSTRUCTION CLASS OF WORK: OTR FIRST: sf N: S: E: W: TYPE OF USE: COM SECOND: sf PROJECT OPENINGS? TYPE OF CONST: NONE : sf N: S: E: W: OCCUPANCY GRP: TOTAL AREA: 0.00 sf ROOF CONST: FIRE RET? OCCUPANCY LOAD: BASEMENT: sf AREA SEP. RATED: STOR: HT: ft GARAGE: sf OCCU SEP. RATED: BSMT ?: MEZZ ?: REQD SETBACKS REQUIRED FLOOR LOAD: psf LEFT: ft RGHT: ft FIR SPKL: SMOK DET: DWELLING UNITS: FRNT: ft REAR: ft FIR ALRM : HNDICP ACC: BEDRMS: BATHS: IMP SURFACE: PRO CORR: PARKING: VALUE: $ 2,500.00 Remarks: Installation of foundation system with seismic attachment to support al 500 gallon liquid oxygen tank at the NW corner of the building. Owner: Contractor: FOUGHT & COMPANY INC EDGE CONCRETE COMPANY PO BOX 23759 PO BOX 231064 TIGARD, OR 97281 EXPIRED TIGARD, OR 97281 Phone: Phone: 503 - 620 -9678 Reg #: LAC 20657 FEES REQUIRED INSPECTIONS Type By Date Amount Receipt Mechanical Permit Require PRMT CTR 9/3/02 $72.10 27200200000 Foot/Found Insp Bolts in concrete final repot 5PCT CTR 9/3/02 $5.77 27200200000 Final Inspection PLCK CTR 9/3/02 $46.87 27200200000 Total $124.74 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 9.2- 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503) 246 -6699 or ' -: a 0- 332 -2344. Perm ittee Signature: ANN, / //, _, .,.. / • Issue' By: - - / /'' Lam" r - Call 639 -4175 by 7 p.m. for an inspection the next business day Lei. g / o2. „... • • Q a Building Permit Application + ` Rb L- I �' c j j Date received: 79 /P Permit no.: . ,; j 8 i City of Tigard !.,/ ' l ' -- - Project/appl. no.: • date: City ojTigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 e. Phone: (503) 639 -4171 J JUL 9 2002 Date issued: B Receipt no.: Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: wri' N1 I � I &2 family: Simple Complex: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi - family 0 New construction ❑ Demolition 0 Addition/alteration /replacement 0 Tenant improvement 0 Fire sprinkler /alarm Cl Other: JOB SITE INFORMATION Job address: 5w Z �, Bldg. no.: Suite no.: Lot: Block: Subdivision: Tax map /tax lot/account no.: Project name: Description and location of work on premises/special conditions: .Z'A.viciac, tie,,i 4 /4-p0- ? ail. La u s L 04 • r OWNER FOR SPECIAL INFORMATION, USE CHECKLIST (Floodplain, septic capacity, solar, etc.) Mailing addr .ss: , : t: 1 & 2 family dwelling: Eli , .6 State:QA ZIP: — 8/ Valuation of work $ Phone I . . .. - E -mail: No. of bedrooms/baths Owner's representative: t er r i Total number of floors Phone: Fax: E -mail: New dwelling area (sq. ft.) ' APPLICANT Garage /carport area (s. •a . ,. Name: Covered porch area (sq. . 1p� Mailing address: Deck area (sq. ft.) City: State: ZIP: Other structure area (sq. ft.) 1 1) Phone: Fax: E -mail: Commerciallindustriallmulti- family: �' �� • CONTRACTOR . Valuation of work $�'�T'�_ Business name: Existing bldg. area (sq. ft.) Address: New bldg. area (sq. ft.) City: State: ZIP: Number of stories Phone: Fax: E -mail: Type of construction Occupancy group(s): Existing: CCB no.: New: City /metro lic. no.: Notice: All contractors and subcontractors are required to be ARCIIITECT /DFSIGNEIi licensed with the Oregon Construction Contractors Board under Name: provisions of ORS 701 and may be required to be licensed in the Address: jurisdiction where work is being performed. If the applicant is City: State: ZIP: exempt from licensing, the following reason applies: Contact person: Plan no.: Phone: Fax: E -mail: ENGINEER E ll Contact person di Fees due upon application $ Address: 1 , Jo • Date received: EEIVII ZIP: • p in Amount received $ Phone: Fax: E -mail: Please refer to fee schedule. I hereby certify I have read and ; amined this application and the Not all jurisdictions accept credit cards, please call jurisdiction for more information. attached checklist. All provisi. s of laws d ord'fiances governing this 0 Visa 0 MasterCard work will be complied ' A , hether s c '4 . in or not. Credit card number: Ex p i / Authorized signatu 1..��/ 1 14,...„. Date: 7 !J 7i Name of cardholder as shown on credit card Print name: G' ►'� (( k) r Cardholder signature $ Amount Notice: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. 440 -4613 (6ro0/COM) A i of • ,� Commercial Plan Submittal Ili Requirement Matrix City of Tigard TYPE OF SUBMITTAL # of Plans (Includes New, Additions or Alterations) Required at • • . Submittal Site Work 4 (must include location of all accessible parking) Plumbing - Site Utilities 2 Building 1* Fire Protection System 3 ** • Mechanical 2 Plumbing - Building Fixtures 2 Electrical 2 • Plan review is dependent upon submittal of a completed application and plans. After plan review approval, the Plans Examiner will contact the applicant to request additional sets of plans for distribution purposes (for Contractor, City of Tigard, Washington County, and Tualatin Valley Fire & Rescue). *For over - the - counter commercial tenant improvements, submit 2 sets of plans. ** "New" fire protection systems require that plans bear the original seal of an Oregon licensed fire suppression engineer, or NICET level "3" technicians. i:\dsts \forms \COM- matrix.doc 9/24/01 CITY OF TIGARD 24 -Hour 6LDING Inspection Line: (503) 639 -4175 ag INSPE 1 ION DIVISION Business Line: (503) 639 -4171 4 Z �� Received Date Requested / -' AM PM BUP Location / 2 > > 5 “ ) 72. /-v-Q Suite MEC Contact Person rYi,, Ph ( ) - /c/ / PLM Contractor • ( ) SWR 11i _IL■ji,l„,„_ Tenant/Ow( ELC otm• 0 r' T •, • ELC mr�r i z Access: Ftg Drain • ELR Crawl Drain Slab Inspection Notes: / s -vv fa ,.. .0C-- S IT Post & Beam Anchrs Ext Sr Sh ea t h /SSh ear ©k � �� Ext eah/h �" Int Sheath/Shear 4 f t e� v ` P/ Framing /� C Insulation 3 ( ° l '/ 1 Drywall Nailing y Firewall I L _ $ /2 Fire Sprinkler Fire Alarm Susp'd Ceiling 4 Roof " Fr ' t O L 4 A. 4 � Other: Fi l�iV� mil/` —�T fir►. �-r� cam_ PAS PART FAIL II BING - �, \ 2-< cL ,- `�-�✓\ �.� �� f Post & Beam _ • -- / � 4 l U Under Slab / ' u — Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage • Fire Alarm Final 0 Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE ❑ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date t V Inspector Ext Other: Final D NOT REMOVE this Inspection record from the Job site. PASS PART FAIL